Provider Demographics
NPI:1760154181
Name:CASA DE LOS NINOS, INC.
Entity Type:Organization
Organization Name:CASA DE LOS NINOS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-624-5600
Mailing Address - Street 1:1120 N 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-7408
Mailing Address - Country:US
Mailing Address - Phone:520-881-1292
Mailing Address - Fax:520-881-1648
Practice Address - Street 1:1101 N 4TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-7467
Practice Address - Country:US
Practice Address - Phone:520-624-5600
Practice Address - Fax:520-881-1648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health